Organization
ALBEMARLE ORTHOTICS & PROSTHETICS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY S WILLIAMSON (OWNER)
(252) 338-3002
Entity
Organization
Contact information
Practice address
405 W 15TH ST, WASHINGTON, NC 27889-3524
(252) 940-1203
(252) 940-1206
Mailing address
405 W 15TH ST, WASHINGTON, NC 27889-3524
(252) 940-1203
(252) 940-1206
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
NC
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0482P
BCBS
NC
05
—
7705351
—
NC
Enumeration date
09/26/2006
Last updated
12/09/2020
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